Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ronald Vincent Jackson death at Middleton, Annapolis County on January 20, 1971
Male Death Registration: Year: 1971 number: 1559
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001559
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Jackson, Ronald Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English (negro)
7. Single, Married
single
8. BIRTHPLACE Inglewood
9. DATE OF BIRTH 1 14, 1913
10. AGE in Years58 Months Days6 | hrs or mins
11. Trade or profession
12. Kind of industry Laborer
13. Date last worked 1971 14. Total years
15. If married name of spouse
16. NAME of Father Stephen Jackson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Robar
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Donald Jackson
address Inglewood
Relationship to deceased Brother
21. Place of burial Bridgetown
Date of burial January 23, 1971
22. Undertaker Bridgetown Funeral Home, Robert L. Hall
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Acute Pulmonary Edema
(b) Pneumonia
(c)
other Severe Scoliosis of Spine
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Note: African Nova Scotian